| NPI | 1578720777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036129618) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: WI 54620-20) |
| 207RN0300X Internal Medicine, Nephrology (Licence: IL 036129618) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2020-02-04 |