| NPI | 1881851087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: KY 43957) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.098084) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2016-03-31 |