| NPI | 1639392939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: IL 036103677) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-103677) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2014-12-04 |