| NPI | 1245393511 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 061994) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-113371) |
| 207RN0300X Internal Medicine, Nephrology (Licence: GA GA061994) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2022-01-07 |