| NPI | 1245503358 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX R2045) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R2045) | 
| 208M00000X Hospitalist (Licence: MS 22100) | |
| Enumeration Date | 2012-02-21 | 
| Last Update Date | 2024-03-15 |