| NPI | 1154654648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX Q3014) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q3014) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX Q3014) | |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2024-03-01 |