NPI | 1942231550 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M2107) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M2107) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2024-05-21 |