| NPI | 1407092562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.130233) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MT207799) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IN 01078053A) | |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2017-04-12 |