| NPI | 1336397553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: ND 11172) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: MN 52274) |
| 207ZF0201X Pathology, Forensic Pathology (Licence: NM 88-39) | |
| 207ZF0201X Pathology, Forensic Pathology (Licence: MT 10086) | |
| 207ZF0201X Pathology, Forensic Pathology (Licence: GA 34173) | |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2009-11-30 |