| NPI | 1831300839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R7281) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A103895) |
| 208M00000X Hospitalist (Licence: TX R7281) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2022-08-17 |