| NPI | 1366581357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: CA A86327) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: NM 2006-0345) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2023-08-30 |