| NPI | 1477714616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301093197) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 239803) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2020-03-23 |