NPI | 1760828842 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036138614) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036138614) |
207RN0300X Internal Medicine, Nephrology (Licence: PA MD449196) | |
Enumeration Date | 2013-05-16 |
Last Update Date | 2025-06-20 |