| NPI | 1366490427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: MI JHO33911) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI JHO33911) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-08 |