| NPI | 1831188002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: KS 04-29509) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: MO 2002026272) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2026-01-06 |