NPI | 1528008786 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO R3J76) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO R3J76) |
207RA0401X Internal Medicine, Addiction Medicine (Licence: IL 036082332) | |
Enumeration Date | 2006-06-07 |
Last Update Date | 2025-08-27 |