| NPI | 1396715157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: NC 2011-00202) |
| Additional Taxonomies | 174400000X Specialist (Licence: SC 13038) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2014-06-27 |