NPI | 1255441424 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TX H1337) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX H1337) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2011-10-26 |