| NPI | 1366407264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: PA OS009476L) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OS009476L) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2024-10-07 |