| NPI | 1396975900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.040720) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036.040720) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-07-16 |