| NPI | 1073706545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: CA A98614) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A98614) |
| 207ZP0213X Pathology, Pediatric Pathology (Licence: CA A98614) | |
| Enumeration Date | 2007-08-19 |
| Last Update Date | 2018-08-15 |