| NPI | 1164879599 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology, Forensic Pathology (Licence: NY 302560-01) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 302560-01) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2025-02-17 |