| NPI | 1891792248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: OH 34.006927) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: OH 34006927P) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2023-12-22 |