| NPI | 1104373109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: NY 297734) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 297734) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA 134549) | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2025-10-23 |