NPI | 1528314721 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q3516) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10044198) |
Enumeration Date | 2012-07-25 |
Last Update Date | 2016-06-17 |