| NPI | 1497376461 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX AP145398) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP145398) |
| 207R00000X Internal Medicine (Licence: TX AP145398) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP145398) | |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2024-10-31 |