| NPI | 1992892772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD60754827) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD13033) |
| 207R00000X Internal Medicine (Licence: RI LP00798) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: CT 054948) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2021-03-05 |