| NPI | 1508834599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q4160) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD426847) |
| 207R00000X Internal Medicine (Licence: AL 28163) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX Q4160) | |
| 208M00000X Hospitalist (Licence: OH 35.095158) | |
| 208M00000X Hospitalist (Licence: PA MD426847) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2023-02-07 |