NPI | 1467416727 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M3792) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM 20050127) |
Enumeration Date | 2006-04-13 |
Last Update Date | 2013-11-01 |