| NPI | 1730381666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: OR MD201884) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: PA MD430089) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2021-02-22 |