| NPI | 1740574219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 34.010982) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 58.003842) |
| 207RN0300X Internal Medicine, Nephrology (Licence: OH 34.010982) | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2020-11-24 |