NPI | 1760844765 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T2227) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0087489) |
207R00000X Internal Medicine (Licence: IA MD-47030) | |
Enumeration Date | 2016-03-28 |
Last Update Date | 2025-07-10 |