| NPI | 1689363319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036179804) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.081646) |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2026-06-26 |