| NPI | 1447298120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: OK 17313) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: OK 17313) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2025-11-18 |