| NPI | 1356386817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD033699E) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35068000) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2007-11-30 |