| NPI | 1356780506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q6403) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX Q6403) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2023-02-23 |