| NPI | 1801857404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: DC MD034605) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: MD D0058723) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2025-04-02 |