NPI | 1154462224 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 36114547) |
Additional Taxonomies | 207RH0005X Internal Medicine, Hypertension Specialist (Licence: IL 036114547) |
207RN0300X Internal Medicine, Nephrology (Licence: IA 36401) | |
Enumeration Date | 2007-02-09 |
Last Update Date | 2022-06-03 |