| NPI | 1023138401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35096113) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01072169A) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2018-02-27 |