| NPI | 1982740015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: MI 4301044373) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301044373) |
| 207ZF0201X Pathology, Forensic Pathology (Licence: WI 28157) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2012-03-21 |