| NPI | 1053358770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.129491) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: RI MD08362) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2021-06-21 |