| NPI | 1730327099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.126500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 003264) |
| Enumeration Date | 2009-01-25 |
| Last Update Date | 2018-08-04 |