| NPI | 1346488046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 305280) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: CT 045244) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2023-05-19 |