| NPI | 1972779700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: LA MD.202237) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: LA MD.202237) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: LA MD.202237) | |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2025-02-12 |