| NPI | 1649406281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S9974) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD31994) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX S9974) | |
| 208M00000X Hospitalist (Licence: AL MD31994) | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2025-08-15 |