| NPI | 1295939734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.090282) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: OH 35090282) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2017-01-26 |