| NPI | 1366598971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD-441990) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: PA MD-441990) |
| 207ZC0500X Pathology, Cytopathology (Licence: PA MD-441990) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: PA MD-441990) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2019-07-17 |