| NPI | 1356640171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01084173A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.123101) |
| 207R00000X Internal Medicine (Licence: PA MD476950) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: OH 35123101) | |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2024-02-02 |