| NPI | 1124334545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: GA 33111) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: CA G88174) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2010-08-23 |