| NPI | 1710565072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2023028474) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 125.078498) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2023-07-18 |