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) | |
208D00000X General Practice (Licence: CA a82527) | |
Enumeration Date | 2006-08-12 |
Last Update Date | 2024-10-31 |