| NPI | 1184878746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: FL ME-145802) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NY 183863) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NC 2005-01672) | |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2020-08-26 |