| NPI | 1033480231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX Q2232) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 563544) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2024-03-01 |