| NPI | 1871741751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2015012835) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036130005) |
| 207R00000X Internal Medicine (Licence: MO 2015012835) | |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2017-10-26 |