| NPI | 1053310847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A67170) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WV 20658) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 289160) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2023-04-21 |