| NPI | 1073562328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L0887) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX L0887) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2016-08-11 |