| NPI | 1124054424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036112923) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 36863) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IL 036112923) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036112923) | |
| 207R00000X Internal Medicine (Licence: AZ 36863) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2026-04-10 |