| NPI | 1720020100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO R6G82) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036-082405) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2016-04-06 |