| NPI | 1255535985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 2021-03379) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: VA 0101249712) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2021-12-20 |