NPI | 1659369056 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K2249) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX K2249) |
Enumeration Date | 2005-10-10 |
Last Update Date | 2024-01-18 |