| NPI | 1134631013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208U00000X Clinical Pharmacology (Licence: OK 14169) |
| Additional Taxonomies | 208U00000X Clinical Pharmacology (Licence: TX 18561) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2018-06-16 |