| NPI | 1447593736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D41931) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD13770) |
| 207R00000X Internal Medicine (Licence: CO DR-51153) | |
| 207R00000X Internal Medicine (Licence: IN 01070468A) | |
| 207R00000X Internal Medicine (Licence: KS 04-35627) | |
| 207R00000X Internal Medicine (Licence: MI 4301099867) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA09167300) | |
| 207R00000X Internal Medicine (Licence: NC 2011-01968) | |
| 207R00000X Internal Medicine (Licence: PA MD444913) | |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |