| NPI | 1174534499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 38357) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: NC 38357) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2014-07-17 |