| NPI | 1275029084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 57549) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.245872) |
| 207R00000X Internal Medicine (Licence: KY 57549) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: PA MT224405) | |
| Enumeration Date | 2018-07-04 |
| Last Update Date | 2023-10-31 |