| NPI | 1851312029 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M7189) | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX m7189) | 
| 207RN0300X Internal Medicine, Nephrology (Licence: TX m7189) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX M7189) | |
| Enumeration Date | 2006-07-22 | 
| Last Update Date | 2015-01-21 |