| NPI | 1700825064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01028895A) |
| Additional Taxonomies | 208U00000X Clinical Pharmacology (Licence: IN 01028895) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2016-04-11 |