NPI | 1811960461 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L7614) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX L7614) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2010-08-04 |