NPI | 1558393520 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX G8525) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX G8525) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2024-06-11 |