| NPI | 1063452910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: TX M1622) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: NY 283041) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2021-05-27 |