NPI | 1427163955 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K0435) |
Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: TX K0435) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2023-11-16 |