| NPI | 1952453995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-110447) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036-110447) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2024-11-26 |