| NPI | 1396165619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 88646) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S7960) |
| 207R00000X Internal Medicine (Licence: LA 307012) | |
| 208M00000X Hospitalist (Licence: TX S7960) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2021-06-05 |