| NPI | 1144274838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: RI MD10872) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MA 77782) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2022-06-29 |