| NPI | 1356399257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MT 24610) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35062000) |
| 207RN0300X Internal Medicine, Nephrology (Licence: OH 35062000) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-03-05 |