NPI | 1922002492 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX H9743) |
Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: TX H9743) |
202C00000X Independent Medical Examiner (Licence: TX H9743) | |
Enumeration Date | 2005-06-11 |
Last Update Date | 2017-01-10 |