| NPI | 1972571024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR 24328) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA 44264) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2018-06-26 |