| NPI | 1891797189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA OS007934L) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 34006724) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2025-06-28 |