| NPI | 1841206695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.148515) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: GA 85224) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WV 16273) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2023-11-30 |