| NPI | 1093940462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OK MD34052) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: CA A107559) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A107559) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX P2744) | |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2019-05-09 |