| NPI | 1851703540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX T2860) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX T2860) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2024-09-16 |