| NPI | 1699988089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: NV 11610) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: MD D61948) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-09-22 |