NPI | 1508394230 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0070873) |
Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: CO DR.0070873) |
2083A0300X Preventive Medicine, Addiction Medicine (Licence: MA 287668) | |
207R00000X Internal Medicine (Licence: MA 287668) | |
Enumeration Date | 2017-05-25 |
Last Update Date | 2023-04-21 |