| NPI | 1184857138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.125203) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036.125203) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2015-05-21 |