| NPI | 1306331277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036156889) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.071685) |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2022-06-15 |