| NPI | 1982706818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD26705) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD00043844) |
| 174400000X Specialist (Licence: WA MD00043844) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2022-06-20 |