| NPI | 1669799557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA A111036) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A111036) |
| 208M00000X Hospitalist (Licence: CA A111036) | |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2022-03-08 |