| NPI | 1205889748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ND 10140) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35099267) |
| 207RN0300X Internal Medicine, Nephrology (Licence: OH 35099267) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2019-06-13 |