| NPI | 1053680900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NH 18268) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125060464) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2021-08-13 |