| NPI | 1942240445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AL 28396) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: AL 28396) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2012-08-10 |