| NPI | 1700879178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036049900) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036049900) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2007-11-13 |