| NPI | 1467482646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.099470) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2003011846) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2021-12-27 |