| NPI | 1841400645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35094767) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301085521) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2010-12-09 |