| NPI | 1710183199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: VA 0101248030) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-118373) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2021-06-29 |