| NPI | 1235178385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K2424) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: TX K2424) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2023-07-27 |