NPI | 1760483614 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036-042187) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-042187) |
Enumeration Date | 2005-08-02 |
Last Update Date | 2015-01-08 |