| NPI | 1225004021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G062972) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: CA G062972) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2014-02-14 |