NPI | 1346497831 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T7352) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 252727) |
Enumeration Date | 2008-08-26 |
Last Update Date | 2025-08-11 |