| NPI | 1184693996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: VA 0101233981) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: OK 24128) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2021-11-18 |