NPI | 1922263375 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P1384) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301091957) |
Enumeration Date | 2008-07-25 |
Last Update Date | 2013-01-10 |