| NPI | 1780831719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036132683) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.36022) |
| 207R00000X Internal Medicine (Licence: MD P22867) | |
| 207R00000X Internal Medicine (Licence: IL 036.132683) | |
| 207R00000X Internal Medicine (Licence: NH 15646) | |
| 208M00000X Hospitalist (Licence: IL 036.132683) | |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2022-06-23 |