| NPI | 1003130618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T0265) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: UT 11266127-1205) |
| 207RN0300X Internal Medicine Nephrology (Licence: TX T0265) | |
| 208M00000X Hospitalist (Licence: AZ 47750) | |
| 207R00000X Internal Medicine (Licence: AZ 47750) | |
| 207R00000X Internal Medicine (Licence: NV 16945) | |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2024-09-20 |