| NPI | 1306959341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N8683) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 21733) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2014-05-09 |