| NPI | 1497082432 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ 48589) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125055930) | 
| Enumeration Date | 2009-11-12 | 
| Last Update Date | 2014-05-18 |