| NPI | 1154505840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35096943) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.013813) |
| 208M00000X Hospitalist (Licence: OH 35.096943) | |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2014-07-09 |