| NPI | 1780893917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101239897) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202011774) |
| 207Q00000X Family Medicine (Licence: VA 0101239897) | |
| 208D00000X General Practice (Licence: VA 0101239897) | |
| 208U00000X Clinical Pharmacology (Licence: VA 0101239897) | |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: VA 0101239897) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2009-11-29 |