| NPI | 1225178486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: NJ 25MA04150800) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: PA MD007171E) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |