| NPI | 1639278799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N3631) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 72584) |
| 207RN0300X Internal Medicine, Nephrology (Licence: WI 72584) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2024-01-11 |