| NPI | 1558873828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208U00000X Clinical Pharmacology (Licence: CA 39645) |
| Additional Taxonomies | 208U00000X Clinical Pharmacology (Licence: NV 09138) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2020-09-17 |