| NPI | 1144640822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R4325) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2019-0805) |
| 207Q00000X Family Medicine (Licence: WA MD60913935) | |
| 208M00000X Hospitalist (Licence: TX R4325) | |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2023-04-28 |