| NPI | 1417928201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 34002734B) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA OS006074E) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2007-07-08 |