| NPI | 1215342449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MI 4301114038) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065890) |
| 207R00000X Internal Medicine (Licence: MI 4301114038) | |
| 208000000X Pediatrics (Licence: MI 4301114038) | |
| 208000000X Pediatrics (Licence: IL 125065890) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2022-04-12 |