| NPI | 1295778520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OR md201747) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 223088) |
| 207ZC0500X Pathology, Cytopathology (Licence: OR md201747) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX P5108) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2026-03-03 |