| NPI | 1659587202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: IA 35738) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: CA G66773) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-07-30 |