| NPI | 1730170978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 22236) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: AL 00022236) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2014-01-31 |