| NPI | 1962434951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: CA G48918) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: WI 49701-20) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2012-07-31 |