NPI | 1770841967 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q3195) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10043540) |
Enumeration Date | 2012-04-25 |
Last Update Date | 2020-05-29 |