NPI | 1306284211 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX Q7897) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX Q7897) |
Enumeration Date | 2013-06-13 |
Last Update Date | 2024-12-10 |