NPI | 1184724932 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA A79201) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A79201) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2021-04-13 |