| NPI | 1285037994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S1047) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AL 34481) |
| 208M00000X Hospitalist (Licence: TX s1047) | |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2026-07-22 |