NPI | 1720246770 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N3741) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX Student) |
Enumeration Date | 2008-05-27 |
Last Update Date | 2009-10-29 |