| NPI | 1235195942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: OH 35-039100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-039100) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2008-03-21 |