| NPI | 1265961593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036.155824) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-070360) |
| 208000000X Pediatrics (Licence: IL 125-070360) | |
| 2080P0210X Pediatrics, Pediatric Nephrology (Licence: IL 036.155824) | |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2025-03-14 |