| NPI | 1083602601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA SP 87) |
| Additional Taxonomies | 208U00000X Clinical Pharmacology (Licence: IA SP 87) |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2007-12-04 |