| NPI | 1609842434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: MO 112064) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 112064) |
| 174400000X Specialist (Licence: IL 036-090622) | |
| 207RN0300X Internal Medicine Nephrology (Licence: IL 036-090622) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2022-03-10 |