| NPI | 1144481565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WV 23992) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.095400) |
| 207RN0300X Internal Medicine, Nephrology (Licence: KY 43510) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2024-01-03 |