| NPI | 1245446228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZC0500X Pathology Cytopathology (Licence: CA A109898) |
| Additional Taxonomies | 174400000X Specialist |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: OH 35.089487) | |
| 207ZC0500X Pathology Cytopathology (Licence: OH 35.089487) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2021-12-27 |