| NPI | 1407376312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 34.015521) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116030769) |
| 208M00000X Hospitalist (Licence: OH 34.015521) | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2023-03-06 |