| NPI | 1497970636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: TN 44447) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 44447) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: VA 101278350) | |
| 208M00000X Hospitalist (Licence: TN 44447) | |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2024-03-19 |