| NPI | 1518974864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 291613) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35086176) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2018-03-17 |