| NPI | 1437261179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: WA MD00043690) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00043690) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-08-12 |