NPI | 1548353055 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G35182) |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA G35182) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2009-04-07 |