| NPI | 1639176118 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 010135170A) | 
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036069902) | 
| Enumeration Date | 2005-06-30 | 
| Last Update Date | 2022-12-12 |