NPI | 1942305941 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N2180) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N2180) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2024-12-25 |