| NPI | 1235447558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2020-03199) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.126049) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2023-03-14 |