| NPI | 1588692479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 49294) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35087548) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NC 200801118) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2014-09-24 |