| NPI | 1992777593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0101X Pathology Anatomic Pathology (Licence: PA MD421719) |
| Additional Taxonomies | 207ZN0500X Pathology Neuropathology (Licence: PA MD421719) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2018-01-18 |