| NPI | 1649405051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: NY 238299-1) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: NY 238299-1) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2009-05-29 |