| NPI | 1518050079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX R1504) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO T2006017752) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 107079) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 56817) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2011014544) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MO 2011014544) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-07-01 |