| NPI | 1932432622 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: MI 4301094041) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301094041) |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2009-09-11 |