| NPI | 1326083379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35-053140) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KY 21833) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IN 01034872) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2012-07-18 |