NPI | 1255354965 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX H9126) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX H9126) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2014-09-16 |