| NPI | 1770846701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NV 18344) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125061300) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2018-11-15 |