| NPI | 1194772970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME 012244) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: ME 012244) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2022-07-20 |