| NPI | 1336665322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: GA 058738) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: GA 058738) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2022-07-21 |