| NPI | 1447231527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WY 6424A) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: WY 6424A) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2023-08-16 |