| NPI | 1942414123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD00045241) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00045241) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2022-12-01 |