| NPI | 1831552074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: PA MD477342) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: PA MD477342) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2025-07-15 |