| NPI | 1871582056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME67400) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: FL ME67400) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2010-11-08 |