| NPI | 1558686360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: IA MD-48443) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: WI 56759-20) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2025-08-06 |