| NPI | 1053438465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M4736) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX M4736) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2022-05-20 |