| NPI | 1306917117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: TN MD00000050049) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: NV 1000256367) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-06-26 |