| NPI | 1073585782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: GA 059888) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 123503) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2008-06-12 |