| NPI | 1932636636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036159902) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 305527) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2022-08-05 |