| NPI | 1255642427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.139568) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A136902) |
| 207R00000X Internal Medicine (Licence: OH 35.139568) | |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2020-12-16 |