| NPI | 1659799450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: CA A146857) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A146857) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2024-06-24 |