| 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 |