| NPI | 1750342341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WV 11166) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35052389) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2019-08-19 |