| NPI | 1407237894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R0331) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10054660) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2017-01-13 |