| NPI | 1104108570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.122890) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.122890) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2019-12-18 |