| NPI | 1952395428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: ME MD15594) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: ME 015594) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: ME MD15594) | |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2023-12-20 |