| NPI | 1932247657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 529) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200000429) |
| 207R00000X Internal Medicine (Licence: TN 2598) | |
| 207R00000X Internal Medicine (Licence: NY 275402) | |
| 207R00000X Internal Medicine (Licence: ME DO2395) | |
| 207R00000X Internal Medicine (Licence: AZ 006151) | |
| 207R00000X Internal Medicine (Licence: GA 048897) | |
| 207R00000X Internal Medicine (Licence: IA DO-04593) | |
| 207R00000X Internal Medicine (Licence: MD H79069) | |
| 207R00000X Internal Medicine (Licence: VA 0102201173) | |
| 207R00000X Internal Medicine (Licence: MO 2014031322) | |
| 207R00000X Internal Medicine (Licence: WY 9463A) | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2022-06-07 |