| NPI | 1316235583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036144802) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 275397) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2025-08-19 |