| NPI | 1598096893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: TX n3231) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: FL ME79278) |
| 207ZF0201X Pathology, Forensic Pathology (Licence: GA 38580) | |
| 207ZF0201X Pathology, Forensic Pathology (Licence: CO 31797) | |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |