| NPI | 1396929469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA OS014278) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 34009226) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2022-09-23 |