NPI | 1013989268 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX m6286) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL me85586) |
207R00000X Internal Medicine (Licence: FL me85586) | |
208000000X Pediatrics (Licence: FL me85586) | |
207R00000X Internal Medicine (Licence: TX m6286) | |
208000000X Pediatrics (Licence: TX m6286) | |
Enumeration Date | 2006-02-02 |
Last Update Date | 2009-03-26 |