NPI | 1609891654 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 173000000X Legal Medicine (Licence: TN MD0000016758) |
Additional Taxonomies | 208D00000X General Practice (Licence: TN MD016758) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2007-07-08 |