| NPI | 1225072374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: CA A23785) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: CA A23785) |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA A23785) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2023-03-07 |