NPI | 1326010497 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 206810) |
Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MA 206810) |
Enumeration Date | 2006-02-03 |
Last Update Date | 2021-03-01 |