| NPI | 1053356394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX C. IMMUNOTOXICOLOGY) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: TX C. IMMUNOTOXICOLOGY) |
| 1744R1102X Specialist Research Study (Licence: TX G7790) | |
| 207Q00000X Family Medicine (Licence: TX G7790) | |
| 209800000X Legal Medicine (Licence: TX NEUROTOXICOLOGY) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2007-07-16 |