| NPI | 1790885572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036110985) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036110985) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2014-10-23 |