| NPI | 1629069927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036134262) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 157288) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MA 157288) | |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2013-12-12 |