| NPI | 1700346723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: IL 036.157724) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.157724) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2024-06-17 |