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 |