NPI | 1235592809 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S4666) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX S4666) |
Enumeration Date | 2016-03-31 |
Last Update Date | 2025-08-13 |