| NPI | 1033305537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0037730) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0037730) |
| 208U00000X Clinical Pharmacology (Licence: MD D0037730) | |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |