| NPI | 1023128048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP129669) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX DC3078) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-12-18 |