| NPI | 1417251489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208U00000X Clinical Pharmacology (Licence: PA MD055258L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD055258L) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |