| NPI | 1932867678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZF0201X Pathology Forensic Pathology (Licence: PA MD433710) |
| Additional Taxonomies | 207ZP0101X Pathology Anatomic Pathology (Licence: DC MD210001618) |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2021-12-14 |