| NPI | 1285632141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 34-00-3733-C) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 34003733) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2014-08-13 |