| NPI | 1124240890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX P4137) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P4137) |
| 208M00000X Hospitalist (Licence: TX P4137) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2025-10-23 |