| NPI | 1699774158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036103423) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036103423) |
| 207RN0300X Internal Medicine, Nephrology (Licence: SC 27012) | |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2025-05-08 |