NPI | 1427052943 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CO 20250) |
Additional Taxonomies | 207RA0401X Internal Medicine Addiction Medicine (Licence: CO 20250) |
Enumeration Date | 2005-06-13 |
Last Update Date | 2020-11-17 |