| NPI | 1477512309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: LA L05690R) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA L05690R) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2020-11-09 |