NPI | 1417992744 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N9942) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35070916R) |
Enumeration Date | 2006-06-19 |
Last Update Date | 2024-10-24 |