| NPI | 1235338260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35 129137) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 246130) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2019-02-28 |