| NPI | 1376077164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S8551) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-13399) |
| 208M00000X Hospitalist (Licence: TX S8551) | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2023-09-12 |