| NPI | 1114338100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: RI MD20552) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 0) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2025-05-19 |