| NPI | 1003834177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD-063087-L) |
| Additional Taxonomies | 208U00000X Clinical Pharmacology (Licence: PA MD-063087-L) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2014-07-10 |