| NPI | 1972788388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R5859) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AR E-9806) |
| 208M00000X Hospitalist (Licence: WI 52281) | |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2024-03-15 |