| NPI | 1083874317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R0399) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 47564) |
| 208M00000X Hospitalist (Licence: VA 0101250346) | |
| 208M00000X Hospitalist (Licence: TN 47564) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2019-11-21 |