| NPI | 1679581201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NJ 25MA10453200) |
| Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: PA MD-052731-L) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD-052731-L) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2023-11-29 |