| NPI | 1558341909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX N5169) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MI 4301065642) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2014-07-22 |