| NPI | 1184805681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35132944) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2021004968) |
| 207R00000X Internal Medicine (Licence: OH 35.132944) | |
| 207R00000X Internal Medicine (Licence: MO 2006019866) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301100278) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: KY 54809) | |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2021-10-04 |