NPI | 1447446653 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N5861) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10028375) |
207Q00000X Family Medicine (Licence: TX N5861) | |
Enumeration Date | 2007-09-20 |
Last Update Date | 2024-04-24 |