| NPI | 1578841425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX N1296) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N1296) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX N1296) | |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2023-05-10 |