| NPI | 1144299645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: UT 181741) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: UT 81741-1205) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2022-07-23 |