NPI | 1174963227 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: PA MD034163E) |
Additional Taxonomies | 208U00000X Clinical Pharmacology (Licence: PA MD034163E) |
Enumeration Date | 2013-07-02 |
Last Update Date | 2015-12-29 |