| NPI | 1154625838 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 125.083080) | 
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IA R9047) | 
| Enumeration Date | 2011-01-10 | 
| Last Update Date | 2024-05-01 |