| NPI | 1992122238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD61261435) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61261435) |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA A153704) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2022-06-14 |