| NPI | 1235102765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 34002683B) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34002683) |
| 207RN0300X Internal Medicine, Nephrology (Licence: OH 34002683) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2024-09-24 |