| NPI | 1508910159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD444688) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.098996) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2025-06-28 |