| NPI | 1255775797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036156371) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 63344) |
| 207R00000X Internal Medicine (Licence: OR MD202308) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: ND 15958) | |
| Enumeration Date | 2013-04-27 |
| Last Update Date | 2023-01-11 |