| NPI | 1588637292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: NJ MA32800) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA03280000) |
| Enumeration Date | 2006-02-12 |
| Last Update Date | 2010-07-13 |