| NPI | 1396976361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: TN MD45371) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: AL 23047) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2022-03-29 |