NPI | 1023298189 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N6434) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME114690) |
Enumeration Date | 2007-11-06 |
Last Update Date | 2021-06-04 |