| NPI | 1104075597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2009007663) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036123985) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2024-05-22 |