| NPI | 1942484902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME136272) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-049838) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60016636) | |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2022-05-27 |