| NPI | 1437352747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q6816) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PA MD436055) |
| 208M00000X Hospitalist (Licence: TX Q6816) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2016-08-25 |