| NPI | 1396026167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: FL ME129359) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 28999-R) |
| 208M00000X Hospitalist (Licence: MO 2018001274) | |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2019-10-01 |