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 |