NPI | 1649228917 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G79524) |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA G79524) |
Enumeration Date | 2006-05-05 |
Last Update Date | 2014-09-16 |