| NPI | 1760556146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology Forensic Pathology (Licence: MO 2007003081) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: HI MD-5140) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: MO 2007003081) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2024-06-06 |