| NPI | 1619474608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: HI MD-23166-0) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036.156022) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2023-07-05 |