NPI | 1750332888 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: SC 15153) |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: SC 15153) |
Enumeration Date | 2006-05-13 |
Last Update Date | 2009-06-30 |