| NPI | 1154495265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX U0025) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 201164) |
| 207Q00000X Family Medicine (Licence: TX U0025) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2024-09-16 |