NPI | 1841814068 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A183705) |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: CA A183705) |
Enumeration Date | 2020-06-03 |
Last Update Date | 2024-07-17 |