| NPI | 1952577231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD00049224) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD28176) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2021-04-05 |