| NPI | 1396794863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 050926) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: GA 050926) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2023-01-14 |