| NPI | 1346208873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NM MD2019-0564) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-068786) |
| 207RN0300X Internal Medicine, Nephrology (Licence: OH 35-068786) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2023-10-24 |