| NPI | 1437786563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301514208) |
| Additional Taxonomies | 207ZF0201X Pathology, Forensic Pathology (Licence: FL ME166192) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2026-05-26 |