NPI | 1740501154 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX P5051) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P5051) |
207RN0300X Internal Medicine, Nephrology (Licence: MN 63207) | |
207R00000X Internal Medicine (Licence: MN 63207) | |
207R00000X Internal Medicine (Licence: PA MT197028) | |
207R00000X Internal Medicine (Licence: PA MT196566) | |
207RN0300X Internal Medicine, Nephrology (Licence: WV 28838) | |
Enumeration Date | 2010-06-21 |
Last Update Date | 2025-09-08 |