| NPI | 1568443372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD040766) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: FL ME134321) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME134321) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2021-01-29 |