| NPI | 1003946542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: TX M4445) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: MA 223427) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |