| NPI | 1205808342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: MS 23727) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 225230) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2017-01-18 |