| NPI | 1114339090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology Cytopathology (Licence: TN 3666) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: KY 04231) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2019-10-10 |