| NPI | 1639489628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P7524) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 65248) |
| 208M00000X Hospitalist (Licence: TX P7524) | |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2023-02-13 |