| NPI | 1366678963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P1631) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R1687) |
| 207R00000X Internal Medicine (Licence: MS 32537) | |
| 207R00000X Internal Medicine (Licence: TN 5471) | |
| 207R00000X Internal Medicine (Licence: WI 77922-21) | |
| 207R00000X Internal Medicine (Licence: CA 20A20883) | |
| 207R00000X Internal Medicine (Licence: OH 34.016499) | |
| 207R00000X Internal Medicine (Licence: NV DO2534) | |
| 207R00000X Internal Medicine (Licence: AL DO.3366) | |
| 207R00000X Internal Medicine (Licence: IA DO-06168) | |
| 207R00000X Internal Medicine (Licence: NM DO2023-1032) | |
| 207R00000X Internal Medicine (Licence: AR E-17825) | |
| 207R00000X Internal Medicine (Licence: KY 05759) | |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2024-04-15 |