| NPI | 1255941589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0116036337) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 125077187) |
| Enumeration Date | 2020-08-02 |
| Last Update Date | 2022-07-26 |