NPI | 1518186451 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P1191) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2009017561) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2016-11-28 |