| NPI | 1700949765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VT 042.0011822) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 36114062) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2015-09-30 |