| NPI | 1104255157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.144288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 286105) |
| 207R00000X Internal Medicine (Licence: AR E-12931) | |
| Enumeration Date | 2013-11-09 |
| Last Update Date | 2022-10-17 |