NPI | 1801139464 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME139078) |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: FL ME139078) |
Enumeration Date | 2013-04-02 |
Last Update Date | 2025-09-18 |