| NPI | 1295970804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 182636-1205) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: UT 182636-1205) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2017-07-17 |