NPI | 1821651282 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: TN 67663) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 67663) |
208M00000X Hospitalist (Licence: TN 67663) | |
Enumeration Date | 2019-04-20 |
Last Update Date | 2024-10-16 |