| NPI | 1942305891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D27598) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MD D27598) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D27598) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |