NPI | 1891317616 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036-164208) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.075759) |
Enumeration Date | 2020-05-14 |
Last Update Date | 2025-02-12 |