| NPI | 1497970636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: TN 44447) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: FL ME169221) |
| 207R00000X Internal Medicine (Licence: TN 44447) | |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: VA 101278350) | |
| 208M00000X Hospitalist (Licence: TN 44447) | |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NC 024-02183) | |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: TX V3288) | |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2026-01-20 |