| NPI | 1073183109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 57.257449) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351048731) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2024-07-06 |