| NPI | 1487040077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R4892) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R4892) |
| 208M00000X Hospitalist (Licence: TX R4892) | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2019-03-09 |