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 |