| NPI | 1144430190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0213X Pathology, Pediatric Pathology (Licence: MO 2017032124) |
| Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: KS 040271) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2026-04-28 |