| NPI | 1073512125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: FL ME125620) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: GA 74308) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: IN 01034481A) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: GA 74308) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: IN 01034481A) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: FL ME125620) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2024-10-02 |