| NPI | 1033234307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: CA A21897) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: CA A21897) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2025-09-11 |