| NPI | 1831326370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N4420) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0054156) |
| 207Q00000X Family Medicine (Licence: OK 29413) | |
| 207Q00000X Family Medicine (Licence: NM MD2015-0006) | |
| 207Q00000X Family Medicine (Licence: HI MD-18050) | |
| 207Q00000X Family Medicine (Licence: OR MD170988) | |
| 207Q00000X Family Medicine (Licence: FL ME122634) | |
| 207Q00000X Family Medicine (Licence: ID M-12808) | |
| 207Q00000X Family Medicine (Licence: WY 10089A) | |
| 207Q00000X Family Medicine (Licence: WA MD60525585) | |
| 207Q00000X Family Medicine (Licence: NY 278194-1) | |
| 207Q00000X Family Medicine (Licence: NV 15847) | |
| 207Q00000X Family Medicine (Licence: CA C136415) | |
| 207Q00000X Family Medicine (Licence: AZ 50165) | |
| 207Q00000X Family Medicine (Licence: MT 37111) | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2021-04-27 |