| NPI | 1699906750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA A108390) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A108390) |
| 207R00000X Internal Medicine (Licence: CA A108390) | |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2020-04-23 |