| NPI | 1972959419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35.135005) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.028012) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2023-07-27 |