| NPI | 1093085771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 209800000X Legal Medicine (Licence: TN 7743) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 7743) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |