| NPI | 1619973005 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35058498) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35058498A) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2019-10-15 |