| NPI | 1558387191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NY 145780) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: OH 35-083541) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2013-07-08 |