| NPI | 1003816729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35044778) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01075254A) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2015-10-01 |