| NPI | 1144688862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MD D0103502) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.136794) |
| 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101263300) | |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2025-11-13 |