| NPI | 1023051810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: DE C1-0024010) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD423584) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: ND PT 12597) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2021-02-03 |