| NPI | 1922110451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35 127306) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 238576) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX M9674) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: GA 064470) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-08-17 |