| NPI | 1417928904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.088532) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WV 22505) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2024-08-30 |