| NPI | 1811013766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A115138) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57011254) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2014-06-19 |