| NPI | 1750616918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: FL ME124510) |
| Additional Taxonomies | 207ZC0006X Pathology Clinical Pathology (Licence: FL ME124510) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2023-07-24 |