| NPI | 1407910771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35088406) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35088406) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2011-01-12 |