| NPI | 1932389525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208U00000X Clinical Pharmacology (Licence: MA 54557) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 54557) |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2007-11-12 |