| NPI | 1316136567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.095429) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KY 45036) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2012-07-16 |