| NPI | 1336550862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: OH 35.138425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.026763) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2024-04-05 |