| NPI | 1033306592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A131011) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.098683) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2014-06-26 |