| NPI | 1922201003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A106860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35089409) |
| 207R00000X Internal Medicine (Licence: CA A106860) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2015-11-18 |