| NPI | 1447412895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX N2563) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N2563) |
| 207R00000X Internal Medicine (Licence: FL OS10375) | |
| 207P00000X Emergency Medicine (Licence: TX N2563) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2024-03-01 |