NPI | 1093078396 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R3819) |
Additional Taxonomies | 208D00000X General Practice (Licence: NE 1050) |
Enumeration Date | 2012-06-21 |
Last Update Date | 2018-02-01 |