| NPI | 1891958781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CO DR.0058485) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0058485) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: CO DR.0058485) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2025-11-03 |