| NPI | 1134215643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX TXBL1525) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX L1525) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-04-04 |