| NPI | 1215189022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: MI 4301091505) |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology (Licence: RI MD13010) |
| 207ZC0500X Pathology, Cytopathology (Licence: RI MD13010) | |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2021-12-20 |