NPI | 1447417704 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P3383) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD443126) |
Enumeration Date | 2008-05-22 |
Last Update Date | 2015-09-11 |