NPI | 1801808209 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MD D53298) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D53298) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2024-05-28 |