| NPI | 1437512753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T9397) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 301003) |
| 207RN0300X Internal Medicine Nephrology (Licence: TX T9397) | |
| 208M00000X Hospitalist (Licence: OH 35.136515) | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2024-10-02 |