| NPI | 1104232925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U6995) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD461625) |
| 207R00000X Internal Medicine (Licence: PA MD461625) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX U6995) | |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2024-11-04 |