| NPI | 1598714479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 044131) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: GA 044131) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2014-04-24 |