An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Addiction Medicine | 207RA0401X |
| Internal Medicine | 207R00000X | |
| Obesity Medicine | 2083B0002X | |
| Pediatrics | 208000000X |
* Indicates primary specialty
| NPI Number | 1568615847 |
| Credentials | M.D. |
| Entity | Individual |
| Enumeration date | 10/30/2008 |
| Last updated | 05/13/2026 - About 3 weeks ago |
| Sole proprietor1 | Yes |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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