| NPI | 1437487485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P2954) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX FTL 43006) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX BP20034563) | |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2021-07-28 |