| NPI | 1245640044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MI 4301505572) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 292934) |
| 207ZC0500X Pathology, Cytopathology (Licence: MI 4301505572) | |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2021-10-26 |