| NPI | 1295998078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: RI MD13007) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 251925) |
| 207V00000X Obstetrics & Gynecology (Licence: RI MD13007) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MA 251925) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2025-01-07 |