| NPI | 1639608631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA 169921) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125070268) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2023-04-28 |