NPI | 1467806810 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R8930) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10056504) |
Enumeration Date | 2016-04-21 |
Last Update Date | 2022-05-12 |