| NPI | 1407381775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX R9625) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R9625) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2024-09-16 |