| NPI | 1710168323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.094825) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD432432) |
| 208M00000X Hospitalist (Licence: PA MD432432) | |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2020-12-03 |