| NPI | 1104883180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35-056950) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-056950) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-12-26 |