| NPI | 1841503844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.135850) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2014-0739) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2019-05-03 |