| NPI | 1700057882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 122071) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 266246) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2014-07-25 |