| NPI | 1427554153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WI 84040-20) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.147903) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2025-08-04 |