| NPI | 1801009451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35097094) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD438312) |
| 207RN0300X Internal Medicine, Nephrology (Licence: PA MD438312) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2022-01-05 |