| NPI | 1922186592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P 9783) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 066746) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX P 9783) | |
| 208M00000X Hospitalist (Licence: TX P 9783) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-10-10 |