| NPI | 1285689968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 38173) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35084461) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2021-10-04 |