| NPI | 1427092477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35-082949) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: KY 37973) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-08 |