| NPI | 1730353699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301119344) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35097088) |
| 207R00000X Internal Medicine (Licence: MI 4301119344) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2020-02-25 |