| NPI | 1154854610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: WI 82100-20) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: IL 036-157156) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2023-07-18 |