| NPI | 1003868597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: IN 01041634A) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: OH 35072749) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-11-10 |