| NPI | 1043349202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: PA MD430779) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: GA 052150) |
| 207ZF0201X Pathology, Forensic Pathology (Licence: VA 0101244603) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2016-08-10 |