| NPI | 1093000473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MI 4301098272) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: AR E-14661) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2022-03-17 |