| NPI | 1891151908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: ND 13727) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: MT 10002) |
| 207ZF0201X Pathology, Forensic Pathology (Licence: TX L5007) | |
| 207ZF0201X Pathology, Forensic Pathology (Licence: SD 9509) | |
| 207ZF0201X Pathology, Forensic Pathology (Licence: MN 59727) | |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |