NPI | 1669452223 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 45748-020) |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: WI 45748-020) |
Enumeration Date | 2006-01-19 |
Last Update Date | 2019-05-15 |