| NPI | 1831362995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 54134-20) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX T5771) |
| 208M00000X Hospitalist (Licence: WI 54134-020) | |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2023-09-25 |