| NPI | 1780064725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX R8325) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R8325) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2024-04-03 |