| NPI | 1811331341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q8012) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX Q8012) |
| 208M00000X Hospitalist (Licence: IA MD-44789) | |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2025-04-07 |