| NPI | 1275539017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 17249) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: MS 017249) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2016-01-06 |