NPI | 1295704393 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: TN MD28076) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD28076) |
207RA0401X Internal Medicine, Addiction Medicine (Licence: TN MD28076) | |
Enumeration Date | 2006-03-14 |
Last Update Date | 2023-01-31 |