| NPI | 1639490915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: SC 32766LL) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC 32766LL) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2021-11-11 |