| NPI | 1194908913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: GA 32818) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: NM 81320) |
| Enumeration Date | 2007-12-15 |
| Last Update Date | 2007-12-15 |