| NPI | 1144228917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI CP052322) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301052322) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: MI 4301052322) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2023-12-16 |