| NPI | 1750390027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A49796) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35-03-2783) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2017-06-30 |