| NPI | 1952359143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35085030) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-085030) |
| 208000000X Pediatrics (Licence: OH 35-085030) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2017-08-17 |