| NPI | 1770575458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-056555) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35-05-6555-S) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2018-01-10 |