NPI | 1972812972 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: NM MD2012-0021) |
Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: TX L6575) |
Enumeration Date | 2010-09-25 |
Last Update Date | 2013-08-15 |