| NPI | 1679750277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 57-013663) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD22380) |
| 207R00000X Internal Medicine (Licence: NY 262821-1) | |
| 207R00000X Internal Medicine (Licence: NM TM2018-0584) | |
| 207R00000X Internal Medicine (Licence: MD D0085679) | |
| 207R00000X Internal Medicine (Licence: PA MD465741) | |
| 207R00000X Internal Medicine (Licence: MN 2362) | |
| 207R00000X Internal Medicine (Licence: MO 2018025325) | |
| 207R00000X Internal Medicine (Licence: WI 70148) | |
| 207R00000X Internal Medicine (Licence: SC MD61163) | |
| 207R00000X Internal Medicine (Licence: AZ 56411) | |
| 207R00000X Internal Medicine (Licence: CO DR.0060852) | |
| 207R00000X Internal Medicine (Licence: DC MD046782) | |
| 207R00000X Internal Medicine (Licence: TN MD0000057829) | |
| 207R00000X Internal Medicine (Licence: GA 81876) | |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2023-10-18 |