NPI | 1598815748 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H9491) |
Additional Taxonomies | 209800000X Legal Medicine (Licence: TX H9491) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2007-07-08 |