| NPI | 1003024639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: MI 4301082392) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MI 4301082392) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2011-11-19 |