| NPI | 1518991686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MI 4301043760) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301043760) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: MI HM043760) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-12-16 |