| NPI | 1538202155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G82333) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: CA G82333) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2021-06-01 |