| NPI | 1740342492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101242364) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME130371) |
| 207R00000X Internal Medicine (Licence: MA 269158) | |
| 207R00000X Internal Medicine (Licence: DE C1-0011949) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA10054800) | |
| 207R00000X Internal Medicine (Licence: MD D82114) | |
| 207R00000X Internal Medicine (Licence: RI MD15546) | |
| 207R00000X Internal Medicine (Licence: IN 01077411A) | |
| 207R00000X Internal Medicine (Licence: NY 285948) | |
| 207R00000X Internal Medicine (Licence: PA MD459148) | |
| 207R00000X Internal Medicine (Licence: MI 4301111101) | |
| 207R00000X Internal Medicine (Licence: CT 55884) | |
| 207R00000X Internal Medicine (Licence: VT 042.0013646) | |
| 207R00000X Internal Medicine (Licence: ME MD21235) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2023-12-20 |