| NPI | 1265596910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: PA MD18664E) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: PA MD018664E) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2018-07-12 |