NPI | 1932614153 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036-165674) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036165674) |
207RN0300X Internal Medicine, Nephrology (Licence: MO 2017036926) | |
Enumeration Date | 2017-12-11 |
Last Update Date | 2025-03-28 |