| NPI | 1437119757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA MD038722E) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: PA MD038722E) |
| 173000000X Legal Medicine | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2011-09-13 |