NPI | 1598183402 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q6589) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q6589) |
Enumeration Date | 2014-03-29 |
Last Update Date | 2019-04-04 |