| NPI | 1891955944 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P2906) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301099056) |
| 207Q00000X Family Medicine (Licence: IA R-8307) | |
| 208M00000X Hospitalist (Licence: TX P20906) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2023-12-19 |