NPI | 1790096246 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 202C00000X Independent Medical Examiner (Licence: MN 32345) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2010-06-30 |
Last Update Date | 2024-01-22 |