| NPI | 1902113368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.126111) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE TEP 6385) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2015-06-02 |