| NPI | 1669670782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.099766) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01065042A) |
| 207RN0300X Internal Medicine, Nephrology (Licence: PA MD442711) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2012-08-09 |