| NPI | 1932140183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD61367747) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M6269) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX M6269) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2023-05-31 |