| NPI | 1831120666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35042304) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301043158) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-07-08 |