| NPI | 1881823250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: AZ 005667) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 05667) |
| 208M00000X Hospitalist (Licence: AZ 05667) | |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2020-09-30 |