NPI | 1851485312 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: IL 036-098125) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-098125) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2011-11-10 |