| NPI | 1114030673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME87467) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036109508) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2021-04-19 |