NPI | 1417175068 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01074851A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.157774) |
207R00000X Internal Medicine (Licence: MT Med-Phys-Lic-80845) | |
207R00000X Internal Medicine (Licence: SC 86662) | |
207R00000X Internal Medicine (Licence: TN 55630) | |
207R00000X Internal Medicine (Licence: MO 2007022067) | |
207R00000X Internal Medicine (Licence: KY 45395) | |
207R00000X Internal Medicine (Licence: FL ME145480) | |
207R00000X Internal Medicine (Licence: WA MD61262190) | |
207R00000X Internal Medicine (Licence: MO 2004017468) | |
207R00000X Internal Medicine (Licence: WI 50607-020) | |
Enumeration Date | 2007-04-20 |
Last Update Date | 2023-02-21 |