NPI | 1083866099 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N7131) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX N7131) |
208M00000X Hospitalist (Licence: TX N7131) | |
Enumeration Date | 2008-10-21 |
Last Update Date | 2022-07-22 |