| NPI | 1346467370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 202C00000X Independent Medical Examiner (Licence: CA C52868) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: CA C52868) |
| 207ZF0201X Pathology, Forensic Pathology (Licence: CA C52868) | |
| 207ZN0500X Pathology, Neuropathology (Licence: CA C52868) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: CA C52868) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA C52868) | |
| 209800000X Legal Medicine (Licence: CA C52868) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-03-23 |