| NPI | 1205098803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MI 4301109196) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 247817) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: MA 247817) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 247817) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301109196) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2022-02-15 |