| NPI | 1205497922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 34.018093) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 58.031166) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2025-10-15 |