| NPI | 1225456841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A142364) |
| Additional Taxonomies | 207ZP0007X Pathology, Molecular Genetic Pathology (Licence: CA A142364) |
| 207ZC0006X Pathology, Clinical Pathology (Licence: CA A142364) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2024-03-13 |