| NPI | 1073776258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: ID M-11883) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.094784) |
| 207RN0300X Internal Medicine Nephrology (Licence: OR MD160974) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2024-08-20 |