NPI | 1700922846 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: CT 027141) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 027141) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2024-02-15 |