| NPI | 1891071007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: IL 036160127) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020020200) |
| 207R00000X Internal Medicine (Licence: IL 125.060233) | |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2022-10-03 |