NPI | 1730541137 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S2982) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX S2982) |
Enumeration Date | 2016-03-24 |
Last Update Date | 2020-12-10 |