| NPI | 1679638423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35095503) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD424050) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2014-06-13 |