| NPI | 1700144391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX P7602) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 274061) |
| 208M00000X Hospitalist (Licence: TX P7602) | |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2025-09-03 |