| NPI | 1275212037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.155865) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AZ R81417) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2026-05-05 |