| NPI | 1477870749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 296123-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD19400) |
| 207R00000X Internal Medicine (Licence: IN 01089378A) | |
| 207R00000X Internal Medicine (Licence: PA MD463717) | |
| 207R00000X Internal Medicine (Licence: MI 4301114090) | |
| 207R00000X Internal Medicine (Licence: CA C159465) | |
| 207R00000X Internal Medicine (Licence: OR MD190366) | |
| 207R00000X Internal Medicine (Licence: CO DR.0062519) | |
| 207R00000X Internal Medicine (Licence: FL ME138295) | |
| 207R00000X Internal Medicine (Licence: TX R8749) | |
| 207R00000X Internal Medicine (Licence: GA 071739) | |
| 208D00000X General Practice (Licence: GA 071739) | |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2019-05-22 |