| NPI | 1992938294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OH 35123607) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT192921) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2017-05-11 |