| NPI | 1831395755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AL 29304) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35048087) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2009-02-16 |