| NPI | 1477553865 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2022014600)  | 
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036160186)  | 
| 207RN0300X Internal Medicine, Nephrology (Licence: GA 077267)  | |
| 207RN0300X Internal Medicine, Nephrology (Licence: IA MD-49740)  | |
| Enumeration Date | 2005-07-28 | 
| Last Update Date | 2025-07-30 |