| NPI | 1851646665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MO 2015021629) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2015021629) |
| 207R00000X Internal Medicine (Licence: IL 036.162657) | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: IL 036.162657) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2023-10-04 |