| NPI | 1487851226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M9465) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX M9465) |
| 208M00000X Hospitalist (Licence: TX M9465) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-05-19 |