| NPI | 1568751360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD466954) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57014593) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2021-05-11 |