| NPI | 1982881124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA09249300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 291402-1) |
| 207R00000X Internal Medicine (Licence: VA 0101257210) | |
| 207R00000X Internal Medicine (Licence: NC 2015-00589) | |
| 207R00000X Internal Medicine (Licence: OH 35.127464) | |
| 207R00000X Internal Medicine (Licence: PA MD453540) | |
| 207R00000X Internal Medicine (Licence: MI 4301111086) | |
| 207R00000X Internal Medicine (Licence: OR MD152368) | |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2026-01-16 |