| NPI | 1841598984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 254763) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MA 254763) |
| Enumeration Date | 2011-03-12 |
| Last Update Date | 2024-08-29 |