| NPI | 1316423379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PA MD469319) |
| Additional Taxonomies | 207ZP0007X Pathology Molecular Genetic Pathology (Licence: PA MD469319) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: PA MT210411) | |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2021-02-28 |