NPI | 1518945724 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 27216) |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: AL 27216) |
Enumeration Date | 2006-01-06 |
Last Update Date | 2023-05-08 |