| NPI | 1679518955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0213X Pathology, Pediatric Pathology (Licence: KS 0-40342) |
| Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology (Licence: MO 2016010256) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2025-12-12 |