| NPI | 1194286492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.073776) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036161014) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2026-06-30 |