| NPI | 1811170533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 096006) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-050035) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2024-03-27 |