NPI | 1285845743 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P0890) |
Additional Taxonomies | 207U00000X Nuclear Medicine (Licence: TX P0890) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2023-12-12 |