| NPI | 1174624779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036050212) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 36-050212) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2013-05-09 |