NPI | 1497902993 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA C41863) |
Additional Taxonomies | 174400000X Specialist (Licence: CA C 41863) |
Enumeration Date | 2008-08-26 |
Last Update Date | 2024-01-03 |