| NPI | 1295726735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 42822) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MA 42822) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2007-07-08 |