NPI | 1174919641 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R6462) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX R6462) |
Enumeration Date | 2015-04-12 |
Last Update Date | 2024-01-05 |