NPI | 1871888438 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q4144) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2017-0115) |
Enumeration Date | 2011-06-12 |
Last Update Date | 2024-08-16 |