NPI | 1306864947 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: PA OS015580) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C2-0012469) |
207Q00000X Family Medicine (Licence: IN 02003097A) | |
207Q00000X Family Medicine (Licence: PA OS015580) | |
207QA0401X Family Medicine, Addiction Medicine (Licence: DE C2-0012469) | |
Enumeration Date | 2006-07-18 |
Last Update Date | 2023-03-21 |