| NPI | 1265466213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 16321) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 26192) |
| 207R00000X Internal Medicine (Licence: MS 14060) | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: NV 16321) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2022-10-18 |