| NPI | 1205321619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0008X Pathology Clinical Informatics (Licence: TX 749900) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: OK 33967) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2022-07-06 |