NPI | 1316184302 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P1994) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10031280) |
Enumeration Date | 2009-01-13 |
Last Update Date | 2024-01-02 |