| NPI | 1912149006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.123867) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 48001) |
| 207R00000X Internal Medicine (Licence: OK 34310) | |
| 207R00000X Internal Medicine (Licence: AZ 57563) | |
| 207R00000X Internal Medicine (Licence: NY 289108) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA10254600) | |
| 207R00000X Internal Medicine (Licence: CA A136059) | |
| 207R00000X Internal Medicine (Licence: NE 31367) | |
| 207R00000X Internal Medicine (Licence: GA 80416) | |
| 207R00000X Internal Medicine (Licence: FL ME129784) | |
| 207R00000X Internal Medicine (Licence: PA MD463604) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.123867) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101263288) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.123867) | |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2024-06-27 |