| NPI | 1912954389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35087062) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 238068) |
| 207RN0300X Internal Medicine, Nephrology (Licence: PA MD434612) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-08-04 |