| NPI | 1043401896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.090506) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2021-12-27 |