| NPI | 1588816318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: TX R2956) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 18157) |
| 208M00000X Hospitalist (Licence: PR 18157) | |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2021-08-09 |