| NPI | 1588072177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: TN md000002622) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: TN MD0000002622) |
| Enumeration Date | 2014-07-27 |
| Last Update Date | 2014-07-27 |