| NPI | 1164753679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX N7167) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N7167) |
| 208M00000X Hospitalist (Licence: TX N7167) | |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2022-05-19 |