| NPI | 1629268891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.097592) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.097592) |
| 207R00000X Internal Medicine (Licence: WI 50551-020) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2024-11-08 |