| NPI | 1912985615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01077285A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 86742) |
| 207R00000X Internal Medicine (Licence: KY 39845) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 86742) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 39845) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2016-08-07 |