| NPI | 1255492088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: LA 326520) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036107636) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2021-07-08 |