| NPI | 1174594915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 350722755) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD417950) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2014-04-03 |