| NPI | 1649446766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: NY 268656) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57-012865) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2018-10-16 |