| NPI | 1669785408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: IL 036137061) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2010015148) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2020-10-07 |