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 |