NPI | 1144640798 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V4223) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 72770) |
207R00000X Internal Medicine (Licence: KY C3300) | |
207R00000X Internal Medicine (Licence: IL 036144046) | |
207R00000X Internal Medicine (Licence: MI EMC0005902) | |
207R00000X Internal Medicine (Licence: OH 35C.001973) | |
207R00000X Internal Medicine (Licence: IN 01095021A) | |
207R00000X Internal Medicine (Licence: PA MD487234C) | |
Enumeration Date | 2014-04-22 |
Last Update Date | 2025-10-01 |