| NPI | 1003887381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.094522) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KY 36942) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2012-06-27 |