| NPI | 1740449297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: PA MD464757) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 256277) |
| 207ZD0900X Pathology, Dermatopathology (Licence: PA MD464757) | |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: NJ 25MA08943200) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2026-03-25 |