| NPI | 1194798942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME58681) |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: FL ME58681) |
| 207R00000X Internal Medicine (Licence: FL ME58681) | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: FL ME58681) | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2019-02-18 |