| NPI | 1588924633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: VA 0101245524) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: VA 0101245524) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |