| 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 |