| NPI | 1053485508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036-065955) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: IL 036-065955) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2010-08-06 |