| NPI | 1023422862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: DC MD210001799) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: DC MD210001799) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2022-12-27 |