| 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 | 2025-06-30 |