| NPI | 1720474323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.142886) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: KS 04-411113) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2022-12-12 |