| NPI | 1831371368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 03237) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 34.009922) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2022-07-21 |