| NPI | 1902877483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: AL ME.23412) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 00023412) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2023-02-17 |