| NPI | 1104072305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036128578) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125050918) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2022-08-08 |