| NPI | 1699340828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AZ R80809) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-078118) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2024-06-28 |