| NPI | 1902069115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35098982) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD445026) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2014-04-03 |