| NPI | 1801839170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 91436) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N4876) |
| 208M00000X Hospitalist (Licence: TX N4876) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2024-03-13 |