| NPI | 1841352390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: PA MD442555) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: IL 036111686) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2013-01-02 |