| NPI | 1144688862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101263300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.136794) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2023-03-27 |