NPI | 1205812898 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX K5623) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K5623) |
Enumeration Date | 2005-12-16 |
Last Update Date | 2017-08-14 |