| NPI | 1194709568 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NC 26243) |
| Additional Taxonomies | 207ZC0500X Pathology Cytopathology (Licence: NC 26243) |
| 207ZP0101X Pathology Anatomic Pathology (Licence: NC 26243) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: MS 23363) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2019-06-28 |