| NPI | 1780096578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R1179) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10051099) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2023-11-14 |