| NPI | 1184724080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: PA MD-435463) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: GA 051529) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2023-11-29 |