| NPI | 1114088283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: NC 2009-00245) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: KY 40925) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2009-07-10 |