NPI | 1083680896 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G35197) |
Additional Taxonomies | 173000000X Legal Medicine (Licence: CA G35197) |
Enumeration Date | 2006-02-23 |
Last Update Date | 2010-03-04 |