| NPI | 1780813071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 68908) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 325884) |
| 207R00000X Internal Medicine (Licence: CA A132035) | |
| 207R00000X Internal Medicine (Licence: FL ME164173) | |
| 207R00000X Internal Medicine (Licence: HI MD16525) | |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2024-07-31 |