| NPI | 1265052872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: OH 34.018050) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: FL OS22402) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2025-07-14 |