NPI | 1851827166 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX S6296) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX S6296) |
Enumeration Date | 2017-05-05 |
Last Update Date | 2025-06-25 |