| NPI | 1477607638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301103759) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35-092802) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2013-06-26 |