| 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 |