| NPI | 1730345026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME176495) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: PA md430624) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2025-10-03 |