| NPI | 1447468616 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: NY 248188) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: PA MD431310) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2012-06-12 |