| NPI | 1922005081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.152465) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX U8813) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WI 48714) | |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2025-03-10 |