| NPI | 1740593797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD450045) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 26309) |
| 207Q00000X Family Medicine (Licence: OH 35.122879) | |
| 207Q00000X Family Medicine (Licence: NY 290033) | |
| 207Q00000X Family Medicine (Licence: MN 64766) | |
| 207Q00000X Family Medicine (Licence: NC 2017-01389) | |
| 207Q00000X Family Medicine (Licence: CA A127597) | |
| 208M00000X Hospitalist (Licence: AZ 47802) | |
| 101Y00000X Counselor (Licence: PA MD450045) | |
| 207Q00000X Family Medicine (Licence: TX P9339) | |
| 207Q00000X Family Medicine (Licence: GA 71067) | |
| 207Q00000X Family Medicine (Licence: IL 036147413) | |
| 207Q00000X Family Medicine (Licence: MI 4301113244) | |
| 207Q00000X Family Medicine (Licence: CT 51568) | |
| 207Q00000X Family Medicine (Licence: WI 219-320) | |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2024-11-20 |