| NPI | 1093820292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OH 35-086014) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: TN 58836) |
| 207RN0300X Internal Medicine Nephrology (Licence: OH 35-086014) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-07-09 |