| NPI | 1730968397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 125.085108) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX W6312) |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2026-05-20 |