| NPI | 1154424372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME144146) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 11651220-1205) |
| 207R00000X Internal Medicine (Licence: TN 61263) | |
| 207R00000X Internal Medicine (Licence: VT 42.0014984) | |
| 207R00000X Internal Medicine (Licence: WY 13082C) | |
| 207R00000X Internal Medicine (Licence: WA 61044640) | |
| 207R00000X Internal Medicine (Licence: NC 2020-00165) | |
| 207R00000X Internal Medicine (Licence: MS 28242) | |
| 207R00000X Internal Medicine (Licence: VA 0101240287) | |
| 207R00000X Internal Medicine (Licence: AL 39187) | |
| 207R00000X Internal Medicine (Licence: AZ 60578) | |
| 207R00000X Internal Medicine (Licence: IL 36.151781) | |
| 207R00000X Internal Medicine (Licence: MI EMC0000175) | |
| 207R00000X Internal Medicine (Licence: MN 66835) | |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: FL ME144146) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2022-11-14 |