| NPI | 1467897660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A135476) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A135476) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA A135476) | |
| 208M00000X Hospitalist (Licence: CA A135476) | |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2024-07-01 |