| NPI | 1972705960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35-092880) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125050554) |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2017-05-02 |