NPI | 1083140917 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S4307) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10060869) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2024-08-13 |