| NPI | 1316399587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.148257) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.148257) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.148257) | |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2024-02-27 |