| NPI | 1083895700 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208U00000X Clinical Pharmacology (Licence: KS 28181)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 28181)  | 
| Enumeration Date | 2007-11-21 | 
| Last Update Date | 2007-11-21 |