| NPI | 1225004831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: TX K0752) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 51101) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2021-01-07 |