| NPI | 1225455140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D82810) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI EMC0000517) |
| 207R00000X Internal Medicine (Licence: IL 36154212) | |
| 207R00000X Internal Medicine (Licence: DC MD044868) | |
| 207R00000X Internal Medicine (Licence: CO CDR0000847) | |
| 207R00000X Internal Medicine (Licence: AZ 61999) | |
| 207R00000X Internal Medicine (Licence: AL MD41319) | |
| 207R00000X Internal Medicine (Licence: VA 0101261840) | |
| 207R00000X Internal Medicine (Licence: WI 962320) | |
| 207R00000X Internal Medicine (Licence: WA MD61100817) | |
| 207R00000X Internal Medicine (Licence: UT 119147351205) | |
| 207R00000X Internal Medicine (Licence: TN 62271) | |
| 207R00000X Internal Medicine (Licence: PA MD469412) | |
| 207R00000X Internal Medicine (Licence: NE 32832) | |
| 207R00000X Internal Medicine (Licence: MS 28131) | |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2020-11-12 |