| NPI | 1891291522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036164967) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036164967) |
| 207R00000X Internal Medicine (Licence: PA MD477920) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2023-10-04 |