| NPI | 1003854597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NV 12845) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35082124) |
| 207RN0300X Internal Medicine, Nephrology (Licence: KY tp512) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2009-11-23 |