| NPI | 1669441580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35-089623) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0061251) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2022-07-21 |