| NPI | 1801055983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-058964) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 24029) |
| 207R00000X Internal Medicine (Licence: CA G86930) | |
| 207R00000X Internal Medicine (Licence: LA 301696) | |
| 207R00000X Internal Medicine (Licence: AR E-12633) | |
| 207R00000X Internal Medicine (Licence: TN 51482) | |
| 207R00000X Internal Medicine (Licence: MN 59992) | |
| 207R00000X Internal Medicine (Licence: IN 01059715A) | |
| 207R00000X Internal Medicine (Licence: AZ 37632) | |
| 207R00000X Internal Medicine (Licence: NE 28097) | |
| 207R00000X Internal Medicine (Licence: KS 04-37501) | |
| 207R00000X Internal Medicine (Licence: UT 9123410-1205) | |
| 207R00000X Internal Medicine (Licence: IA MD-42030) | |
| 207R00000X Internal Medicine (Licence: MO 2014029944) | |
| 207R00000X Internal Medicine (Licence: TX Q3298) | |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2022-12-16 |