| NPI | 1043673726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MA 283990) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 283990) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 283990) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 279369) | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2024-04-03 |