NPI | 1225284037 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M7917) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX M7917) |
Enumeration Date | 2008-08-12 |
Last Update Date | 2009-02-25 |