NPI | 1194936013 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N4453) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N4453) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2023-07-03 |