| NPI | 1861874323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID 1471255) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ID 1471255) |
| 207P00000X Emergency Medicine (Licence: TX R0146) | |
| 207Q00000X Family Medicine (Licence: TX R0146) | |
| 207Q00000X Family Medicine (Licence: ID 1471255) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2026-07-09 |