NPI | 1720460561 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.138543) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2018-01862) |
Enumeration Date | 2015-06-28 |
Last Update Date | 2023-11-03 |