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 |
| Infectious Disease | 207RI0200X | |
| Internal Medicine | 207R00000X |
* Indicates primary specialty
| NPI Number | 1639524119 |
| Credentials | MD |
| Entity | Individual |
| Enumeration date | 05/03/2016 |
| Last updated | 01/22/2026 - About 4 months ago |
| Sole proprietor1 | No |
| 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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