| NPI | 1518212547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME123006) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57-020682) |
| 207R00000X Internal Medicine (Licence: FL ME123006) | |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2020-08-24 |