NPI | 1760713424 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N8309) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0071245) |
Enumeration Date | 2010-01-20 |
Last Update Date | 2023-06-13 |