| NPI | 1386617157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 183009-1) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 183009) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2023-06-30 |