| NPI | 1497049571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 33642) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TPME277) |
| 207R00000X Internal Medicine (Licence: FL ME161302) | |
| 207R00000X Internal Medicine (Licence: AL MD.46158) | |
| 207R00000X Internal Medicine (Licence: OH 35.147127) | |
| 207R00000X Internal Medicine (Licence: PA MD479838) | |
| 207R00000X Internal Medicine (Licence: CO DR.0074514) | |
| 207R00000X Internal Medicine (Licence: NC 2023-00109) | |
| 207R00000X Internal Medicine (Licence: TX U3217) | |
| 207R00000X Internal Medicine (Licence: SC LL33642) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2024-12-18 |