| NPI | 1770615981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35034432) |
| Additional Taxonomies | 246ZN0300X Specialist/Technologist, Other, Nephrology (Licence: OH 35034432) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2015-02-17 |