| NPI | 1013203561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.143770) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MN 55301) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IL 036.143770) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2021-08-12 |