| NPI | 1538108857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: RI MD12105) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: RI MD12105) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: RI MD12105) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2024-03-05 |