| NPI | 1083690093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036-114331) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01061315A) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IN 01061315A) | |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2007-08-01 |