NPI | 1255799193 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: MA 292677) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: FL ME150939) |
Enumeration Date | 2016-02-06 |
Last Update Date | 2023-03-30 |