NPI | 1063417715 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q2173) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 32339) |
Enumeration Date | 2005-06-18 |
Last Update Date | 2023-12-04 |