| NPI | 1750488581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35-097996) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 239402) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-05-29 |