| NPI | 1376773663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX P9453) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX P9453) |
| 208M00000X Hospitalist (Licence: NM MD2018-0873) | |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2023-04-26 |