| NPI | 1225272453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P1860) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P1860) |
| 208M00000X Hospitalist (Licence: TX P1860) | |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2020-06-30 |