NPI | 1053334219 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101257630) |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: VA 0101257630) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2023-08-14 |