| NPI | 1437310083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX V2173) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX V2173) |
| 207Q00000X Family Medicine (Licence: FL ME108828) | |
| 207R00000X Internal Medicine (Licence: TX V2173) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2025-09-26 |