| NPI | 1578892113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S3233) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.012770) |
| 207R00000X Internal Medicine (Licence: MN 55367) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: MN 55367) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX 55367) | |
| 208M00000X Hospitalist (Licence: MN 55367) | |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2024-05-09 |