| NPI | 1114910411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX R1810) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: CO 42232) |
| 207RN0300X Internal Medicine, Nephrology (Licence: UT 6419970-1205) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: ID M9032) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: AR E11089) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: OK 3520) | |
| 208M00000X Hospitalist (Licence: UT 6419970-1205) | |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2022-10-24 |