| NPI | 1033282546 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PA MD435003) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: PA MD435003) |
| 207ZC0500X Pathology Cytopathology (Licence: FL ME141861) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: FL ME141861) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2023-09-27 |