| NPI | 1881815017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AR E-5413) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N2750) |
| 207Q00000X Family Medicine (Licence: AR E5413) | |
| 282N00000X General Acute Care Hospital (Licence: TX N2750) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2016-07-06 |