| NPI | 1154521425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 52591-020) |
| Additional Taxonomies | 207RA0401X Internal Medicine Addiction Medicine (Licence: WI 52591) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2024-07-12 |