NPI | 1326017500 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M1743) |
Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: TX 823061) |
Enumeration Date | 2006-03-17 |
Last Update Date | 2021-01-28 |