NPI | 1669506861 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: NC 25939) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 25939) |
208600000X Surgery (Licence: NC 25939) | |
Enumeration Date | 2007-03-16 |
Last Update Date | 2020-04-04 |