| NPI | 1073517751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA C53094) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036103114) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2015-09-10 |