| NPI | 1922159847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01037710A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01037710) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: IN 01037710A) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2022-05-09 |