NPI | 1699959395 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 202C00000X Independent Medical Examiner (Licence: TN MD0000036065) |
Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: FL ME 21426) |
Enumeration Date | 2007-12-18 |
Last Update Date | 2007-12-18 |