| NPI | 1013176759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: ND 13474) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD436954) |
| 207R00000X Internal Medicine (Licence: OH 91778) | |
| Enumeration Date | 2008-06-07 |
| Last Update Date | 2020-09-28 |