| NPI | 1679581326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2008-00276) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 34007397) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-05 |