| NPI | 1962463273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WV 10953) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35051747L) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2008-03-06 |