NPI | 1548348766 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 173000000X Legal Medicine (Licence: NY 177426) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 177426) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2009-11-12 |