| NPI | 1922208776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P-1442) |
| Additional Taxonomies | 2083X0100X Preventive Medicine Occupational Medicine (Licence: TX P1442) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2021-09-29 |