NPI | 1275501066 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M8046) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX M8046) |
Enumeration Date | 2006-03-09 |
Last Update Date | 2008-01-29 |