| NPI | 1770738825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A129459) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35122842) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2018-04-25 |