| NPI | 1346479458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.131092) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125055734) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2025-04-01 |