| NPI | 1598023871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 8803416-1205) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: UT 8803416) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2018-09-25 |