NPI | 1982683108 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K0150) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX K0150) |
Enumeration Date | 2006-01-16 |
Last Update Date | 2012-12-10 |