NPI | 1619641693 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME163245) |
Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: FL ME163245) |
207RA0401X Internal Medicine, Addiction Medicine (Licence: FL ME163245) | |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME163245) | |
Enumeration Date | 2021-08-04 |
Last Update Date | 2024-07-24 |