| NPI | 1407317845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T5941) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T5941) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX T5941) | |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2025-06-13 |