| NPI | 1689809535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K0018) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: TX K0018) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: TX K0018) | |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2009-07-13 |