| NPI | 1083753636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TN 21904) |
| Additional Taxonomies | 208U00000X Clinical Pharmacology (Licence: TN 21904) |
| 209800000X Legal Medicine (Licence: TN 21904) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-07-02 |