| NPI | 1487081998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: CT 034498) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: NY 206274) |
| Enumeration Date | 2013-09-28 |
| Last Update Date | 2022-12-02 |