| NPI | 1871547448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: NY 230106) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: PA MD428844) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2023-05-16 |