| NPI | 1861404535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: CA a82527) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A82527) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA a82527) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: CA a82527) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2021-12-20 |