| NPI | 1700895513 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208U00000X Clinical Pharmacology (Licence: TX F3334) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX F3334) | 
| Enumeration Date | 2006-08-08 | 
| Last Update Date | 2025-08-07 |