| NPI | 1003077298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036.072704) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD012231E) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |