| NPI | 1518427798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WV 35518) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U2010) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX U2010) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: WV 35518) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX U2010) | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2025-08-10 |