| NPI | 1598516874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD493991) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 57255865) |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2026-03-13 |