| NPI | 1033434865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology Cytopathology (Licence: CT 64056) |
| Additional Taxonomies | 207ZC0008X Pathology Clinical Informatics (Licence: NY 279839) |
| 207ZC0008X Pathology Clinical Informatics (Licence: CT 64056) | |
| 207ZC0500X Pathology Cytopathology (Licence: NY 279839) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NY 279839) | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CT 64056) | |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2019-11-01 |