NPI | 1033158688 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35079166) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35079166) |
207R00000X Internal Medicine (Licence: KY 37001) | |
208M00000X Hospitalist (Licence: OH 35-079166) | |
Enumeration Date | 2006-06-06 |
Last Update Date | 2019-10-30 |