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 | 2021-06-24 |