| NPI | 1629235700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: SC 31997) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35091282) |
| Enumeration Date | 2008-05-17 |
| Last Update Date | 2011-10-31 |