| NPI | 1376995845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 57.245144) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301110720) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2021-10-27 |