| NPI | 1841438090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: WA MD0003608A) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: CA 02800087) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2009-01-27 |