| NPI | 1740444173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 7946713-1204) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 7946713-1204) |
| 208M00000X Hospitalist (Licence: UT 7946713-1204) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2018-06-27 |