| NPI | 1598103673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 61244) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10045436) |
| 207Q00000X Family Medicine (Licence: NC 2018-00468) | |
| 208M00000X Hospitalist (Licence: NC 2018-00468) | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2023-06-06 |