| NPI | 1467944256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP136257) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX AP136257) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP136257) | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2024-02-29 |