| NPI | 1245624188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 311860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101269503) |
| 207R00000X Internal Medicine (Licence: AL 42591) | |
| 207R00000X Internal Medicine (Licence: TN 63884) | |
| 207R00000X Internal Medicine (Licence: MS 28993) | |
| 207R00000X Internal Medicine (Licence: MN 69290) | |
| 207R00000X Internal Medicine (Licence: IL 036.157023) | |
| 207R00000X Internal Medicine (Licence: GA 89169) | |
| 207R00000X Internal Medicine (Licence: NE 34411) | |
| 207R00000X Internal Medicine (Licence: IN 01080967A) | |
| 207R00000X Internal Medicine (Licence: IA MD-45949) | |
| 207R00000X Internal Medicine (Licence: OH 35.135692) | |
| 207R00000X Internal Medicine (Licence: TX S2649) | |
| 207R00000X Internal Medicine (Licence: FL ME141663) | |
| 207R00000X Internal Medicine (Licence: MI 4301114644) | |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2023-03-14 |