| NPI | 1578521696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OH 35031369) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35031369) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2009-08-07 |