| NPI | 1750625968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator (Licence: MD D0043798) |
| Additional Taxonomies | 208U00000X Clinical Pharmacology (Licence: MD D0043798) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |