NPI | 1265627186 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX BP30025746) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP30025746) |
Enumeration Date | 2007-09-13 |
Last Update Date | 2007-09-13 |