| NPI | 1720397250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: DE C1-0023836) |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology (Licence: PA MD450704) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD450704) | |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2020-08-25 |