| NPI | 1407102007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: OH 34.14024) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.140124) |
| 207R00000X Internal Medicine (Licence: MI 4301104479) | |
| 207RN0300X Internal Medicine Nephrology (Licence: MI 4301104479) | |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2021-04-27 |