| NPI | 1033165899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AR E-0597) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA C128115) |
| 207ZP0213X Pathology, Pediatric Pathology (Licence: AR E-0597) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2024-04-19 |