| NPI | 1023435039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.147985) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KY 53673) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2023-08-01 |