| NPI | 1053547075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: CA A103834) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: CA A103834) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2021-11-03 |