| NPI | 1689774796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 57441) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MA 57441) |
| 208M00000X Hospitalist (Licence: MA 57441) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2019-04-17 |