| NPI | 1972571800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MI 4301096176) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35080974) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2021-05-28 |