| NPI | 1548534027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036182493) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125.083178) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2026-09-29 |