| NPI | 1659669240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036134040) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.059678) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2025-01-16 |