| NPI | 1487944617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 22375) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA DO-06316) |
| 207R00000X Internal Medicine (Licence: ND 19522) | |
| 207R00000X Internal Medicine (Licence: AZ 010240) | |
| 207R00000X Internal Medicine (Licence: CO CDR.0002502) | |
| 207R00000X Internal Medicine (Licence: LA 334790) | |
| 207R00000X Internal Medicine (Licence: GA 94554) | |
| 207R00000X Internal Medicine (Licence: CA 20A11568) | |
| 207R00000X Internal Medicine (Licence: TX U1584) | |
| 207R00000X Internal Medicine (Licence: VT 162.0000141) | |
| 207R00000X Internal Medicine (Licence: WI 2707-321) | |
| 207R00000X Internal Medicine (Licence: MD H0096600) | |
| 207R00000X Internal Medicine (Licence: OH 34C.000075) | |
| 207R00000X Internal Medicine (Licence: AR E-7796) | |
| 207R00000X Internal Medicine (Licence: TN 2930) | |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2023-05-02 |