| NPI | 1154577120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2013018204) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036133483) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2016-04-01 |