| NPI | 1427276286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME131220) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: FL ME131220) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OH 57012347) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2024-10-19 |