| NPI | 1194829390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: PA MD045978L) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: PA MD045978L) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2019-12-11 |