NPI | 1841289030 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L7274) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 22315) |
Enumeration Date | 2005-10-19 |
Last Update Date | 2024-09-18 |