| NPI | 1326231994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 341283) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35146180) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2026-06-11 |