| NPI | 1689607681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX L5460) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX L5460) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-02-11 |