Carl Wilson, MD Valid NPI

Individual provider · Nephrology Physician · Santa Rosa, CA

NPI

1033110465

Type

Individual (Type 1)

Primary specialty

Nephrology Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RN0300X

License number

G44318 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2005-08-09

Last updated

2017-07-25