| NPI | 1376799163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036125475) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125053035) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IN 01073237A) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2023-02-02 |