| NPI | 1902845209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA C53146) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35075207) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2012-07-18 |