| NPI | 1013200062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q1433) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q1433) |
| 207Q00000X Family Medicine (Licence: NM MD2013-0797) | |
| 208M00000X Hospitalist (Licence: TX Q1433) | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2023-11-09 |