| NPI | 1134789761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: UT 13791287-1205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2019019669) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2024-03-29 |