| NPI | 1548285950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA G51282) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G51282) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2021-04-29 |