NPI | 1598730939 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX F7158) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX F7158) |
Enumeration Date | 2006-02-21 |
Last Update Date | 2016-11-10 |