| NPI | 1649581067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.125060) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 27984) |
| 208M00000X Hospitalist (Licence: MD D81106) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2023-01-16 |